Indima ye-microscope yokuhlinzwa ekuxilongeni nasekwelapheni i-pulp kanye nezifo ze-periapical

Imisebenzi emihle kakhulu yokukhulisa nokukhanyisa yei-microscopes yokuhlinzwaakusizi nje ukuthuthukisa ikhwalithi yokwelashwa kwezimpande ezivamile, kodwa futhi kudlala indima ebalulekile ekuxilongeni nasekwelapheni izimo ezinzima ze-pulp kanye nezifo ze-periapical, ikakhulukazi ekulawuleni izinkinga ekwelapheni kwezimpande kanye nokuhlinzwa kwe-periapical, okungenakushintshwa ngenye imishini. Ukwakheka nokusebenza kwei-microscopes yokuhlinzwa yamazinyoziyinkimbinkimbi uma kuqhathaniswa, futhi ubungoti bomqhubi bungase buthinte ukuhlolwa kokusebenza kwabo komtholampilo. Lesi sihloko sihlola indima yei-microscopes yokusebenza kwamazinyoekuxilongweni nasekwelapheni kwe-pulp kanye nezifo ze-periapical ezisekelwe ezincwadini kanye nesipiliyoni somtholampilo.

A Isibonakhulu sokuhlinzwa kwamazinyoiqukethe isistimu ye-optical enembile, isistimu yokusekela eyinkimbinkimbi, kanye nezinsiza ezihlukahlukene. Ngaphezu kokuba nekhono ekusebenzeni kwe-Isibonakhulu sokusebenza kwamazinyo, odokotela abahlinzayo ngokuvamile badinga ukwenza ukuhlinzwa kwesibuko ngaphansi kobubanzi be-intraoral ekwelapheni okungahlinzeki kwezifo ze-pulp yamazinyo. Ukuxhumana kahle kwamehlo esandla nakho kuyikhono okumelwe likwazi ukwenziwa kahle ku-microsurgery. Ukusebenzisa ngobumpumputhe aisibonakhulu zamazinyongaphandle kokwenza okwanele akwenzi nje kube nzima ukufeza imiphumela elindelekile, kodwa kungase kube umthwalo ngesikhathi sokwelashwa. Ngokusekelwe ekubuyekezweni kwezincwadi kanye nesipiliyoni somtholampilo, umbhali ufingqa indima yeIzibonakhulu zokuhlinzwa ngomlomoekuxilongweni nasekwelapheni izifo ze-pulp kanye ne-periapical, ukuze kunikezwe isiqondiso sokusetshenziswaIzibonakhulu ezisebenza ngomlomoekuxilongweni nasekwelashweni.

Ukusebenzisa aIsibonakhulu somlomongesikhathi sokwelashwa kwezimpande kunganikeza ukuqonda okunembile nokunembile kwayo yonke inqubo yokwelapha, kuyilapho kukhulisa ukulondolozwa kwezicubu zamazinyo. Udokotela ohlinzayo angakwazi ukubona ngokucacile ukwakheka okuhle kwegumbi le-pulp kanye nomsele wezimpande, athuthukise umphumela wokuhlanza nokulungiswa komsele wempande, futhi alawule ikhwalithi yokugcwaliswa kwezimpande.

Emisebenzini yomtholampilo, ngaphandle kokubalwa kwe-pulp, imizimba yangaphandle, ukugcwaliswa, nezinyathelo zodonga lomsele wezimpande yizona zimbangela ezivame kakhulu zokuvinjelwa kwezimpande. Ngaphansi kwe-microscope yokuhlinzwa, udokotela ohlinzayo angakwazi ukuhlukanisa izinto zangaphandle kanye nokugcwaliswa okuhlukile ngombala odongeni lwezimpande. Zingasuswa kusetshenziswa ifayela le-ultrasonic noma ithiphu elisebenzayo ukuze kugwenywe umonakalo omkhulu esakhiweni somsele wempande kanye nezicubu zamazinyo.

Emazinyweni anezindonga zempande enesitebhisi, ingxenye engenhla yomsele wempande enyathelwe ingahlanzwa futhi ihlolwe ngaphansiisibonakhulu sokuhlinzwaukuze uqinisekise ukugoba komzila wempande. Ifayela elikhulu lokuvula i-taper noma ithiphu yokusebenza ye-ultrasonic ingasetshenziswa ukuvula ngaphambili ingxenye engenhla yomsele wempande futhi ubheke futhi uthole umsele wempande. Sebenzisa isandla esincane ukuze ugobe ngaphambili ngefayela, cwilisa ithiphu lefayela ku-lubricant yezimpande zezimpande bese ulisonta kancane ukuze uhlole umsele wempande. Uma usuwele izinyathelo futhi ufaka umsele wempande, ungakwazi ukuphakamisa kancane ifayela kuze kube yilapho lingena kahle, bese ulibuyisela esikhundleni ngefayela elikhudlwana ukuze uqhubeke nokuphakamisa. Hlanza i-root canal futhi uyijikelezise ize ibushelelezi.

Ngaphansi kokubhekwa kuka-aisibonakhulu esisebenzayo, ukujula nokusebenza kokuchelela komsele wempande kungabonwa, kuqinisekiswe ukuthi uketshezi lugcwaliswa emgodini ngamunye wempande wamazinyo amaningi phakathi nenqubo yokunisela, uthintana ngokugcwele nodonga lomsele wempande kanye nezicubu ezisele ze-pulp ezingase zibe khona. Amathuluzi okulungisa umsele wezimpande ngokuvamile ayindilinga, futhi imisele yezimpande e-elliptical ijwayele ukunqwabelana udoti endaweni yegebe ngemva kokulungiswa ngamathuluzi ayindilinga. I-isthmus yesistimu yezimpande ezimise okuka-C nayo ijwayele ukuba nezicubu ezisele ze-pulp kanye nemfucumfucu. Ngakho-ke, ngosizo aisibonakhulu sokuhlinzwa, ukufakwa kwe-ultrasonic kungasetshenziswa ukuhlanza izingxenye ezihlukahlukene zezimpande ezingavamile, bheka ukwakheka kwezicubu kanye nomphumela wokuhlanza ngemva kokuhlanza.

Ngesikhathi sokugcwaliswa komsele wezimpande, i-isibonakhulu sokuhlinzwainganikeza nemiphumela emihle kakhulu yokubuka, evumela ukubhekwa nosizo ekuletheni ngokunembile ama-sealant ezimpande, imiqhele yamazinyo, njll. kumgudu ngamunye wezimpande. Lapho iglue yezinyo elishisayo icindezelwa mpo futhi igcwaliswa, ingabonwa ngaphansi kwe-aisibonakhulu sokuhlinzwakungakhathaliseki ukuthi i-glue ingene engxenyeni engavamile yomgudu wempande nokuthi ithintana nodonga lwezimpande. Phakathi nenqubo ye-pressurization eqondile, ingasiza futhi ukulawula amandla nokujula kwe-pressurization.

Ngokuthuthukiswa kwemishini yokwelapha ngomlomo nezinto zokwakha, ukwelashwa kwe-pulp kanye nezifo ze-periapical nakho kungathuthuka kusuka ku-microsurgery kuye ku-neurosurgery ehlasela kancane, efana ne-neurosurgery. Imishini eminingi yokubona ngeso lengqondo iguqule inkambu yokubuka kadokotela nezindlela zokwelapha. Ngokombono we-microtherapy, kunesidingoi-microscopes yokuhlinzwaezifaneleka kakhulu ukwelapha ngomlomo esikhathini esizayo, njengamasistimu e-stent alula futhi azinzile, amasistimu okulungiswa kwe-microscope angathinteki, amasistimu e-imaging e-high-definition stereoscopic, njll., ukuze kuhlinzekwe ulwazi olunethezekile lokusebenza kanye namathemba abanzi ohlelo lokusebenza lwe-microtherapy ye-pulp kanye nezifo ze-periapical.